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_ oy .-13 08 c_ il : ODa ra DeltaCorp 1 -5' - 22 - p. <br /> ^ : EHD LOO NUMBER <br /> (: � �EA[)I SAN JOAQUIN COUNTY <br /> NCj;/ rt ENVIRONMENTAL HEALTH DEPARTMENT ' <br /> 3 a 2008 600 East Main Street, Stockton, CA 95202-3029 <br /> EIJVIRQ�"411.1_--N IEAMII phone; (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehtl 3q <br /> PERI;, Ifi­ ERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: I-2L4 U61"ric-l 11.1 BUSINESS/AGENCY: S'tE P A - -Tp ('nLN_17_A'S ICYJ <br /> ADDRESS: 5Q Ib ♦1. Clyt"W ST_ I STE. City/StateTGp '11ESN0 r (A 4YS'Il0 <br /> PHONE(1): (SSq)'z�5 " IN51 PHONE(2): FACSIMILE; �55yJZZ94457-. <br /> TENTATIVE"APPOINTMENT DATE: A .S.P, f• I I Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK DOX TO EXPEDITE REQUEST;,$106 FE CASH CHECK ONLY)-REQUEST PROCESSED IN 9 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE _ IIj i3jOB <br /> Electronic Information: [:) List [] Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street IS Street Name City 11 <br /> 1. gZ� EAST DSEI.IIT'G_ aV�. NSN <br /> Tr-(:P, <br /> j �ilti �fc ❑ Unit1 <br /> T <br /> 2 ❑ Unit 2 <br /> 3. \\ <br /> 4. Unit 7 <br /> 5. Ole <br /> -- Unlf 4 <br /> B. <br /> 7. <br /> ❑ Unit <br /> 8. <br /> 9. ❑ Units <br /> 10. <br /> Specific Date Range of Information Requested;From at)b-� to —p�E 14f <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Ia U NO ERG ROUND TANK(UST)CLEANUP SITE(LOP) 13 HOUSING ABATEMENT ❑ SOUO WAsw FAGIUTYNEHICIP <br /> iia OTHERCIEFNnP SITE(NON-LOP) 17 FOOD FACILn'Y ❑WASTE TIRE �� '7 (•/ <br /> I®UNDEROROUND TANK(MONrrORINKYREMOYAL) 13 Poo KENNEL ❑ DAIRY LAP <br /> I J <br /> 0 HAMA us WASTEGENERATOR 13 CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 13 MOTEL/HOTEL ❑PUMPER TRUOK/YARD(CHEM TOII.ErS <br /> 13 TATTOO/BODY PIERCING rIPOOLJSPA ❑LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILFTY O OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REJIEw - MONDAY-FRIDAY 5:00 AM-6:00PM -EScLUDINo HOLmAYs. <br /> 1. List up to ten addresses in the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one The type MUST be selected. Fax to(2091464-0138 or mail to the address Indicated above- Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$105 deposit prior to review. <br /> EHD USE ONLY <br />